Resident physicians are at higher risk for depression, anxiety, and burnout when compared
with same-age peers, resulting in substantive personal and professional consequences.
Training programs across the country have acknowledged the gravity of this situation and
many have implemented programs and curricula that address wellness and resilience, yet
the benefits of such initiatives are still largely unknown. While the development of wellness
programming is well intentioned, it is often incongruent with the residency training …

I commend Dr. Meeks and colleagues1 for acknowledging the lack of evidence supporting
the efficacy of individually based approaches to addressing resident wellness and wellbeing
(eg, mindfulness, resilience training). I also commend the authors for recognizing that
current strategies for targeting the Bburnout epidemic^ in residency remain stubbornly
focused on the individual to the exclusion of systematic factors. 1, 2 However, I think Dr.
Meeks and her colleagues are still too invested in individual, medical approaches to …